Final Exam

Question 1

What should a pharmacist do when he/she has caught a medication error after furnishing the drug to the patient?

A) Nothing because the patient will figure it out
B) Inform the patient ASAP about the error and how to
avoid/mitigate injury. Also inform prescriber that the error
occurred
C) Only inform the patient about the error and how to
avoid/mitigate injury
D) Only inform the prescriber that the error occurred

Answer 1

B) Inform the patient ASAP about the error and how to avoid/mitigate injury. Also inform prescriber that the
error occurred

Question 2

When should a PIC insist on a complete drug inventory?

A) The day you begin employment as a PIC and the day that you leave
B) The day you begin employment as a PIC
C) The day you leave employment as a PIC
D) It is not necessary to insist on a complete drug inventory

Answer 2

A) The day you begin employment as a PIC and the day that you leave

Question 3

In a Compounding Injectable Sterile Drug Product Pharmacy, what is the consequence of violating sterile injectable drug law or regulations?

A) A fine of up to $1000 per occurrence
B) A fine of up to $250 per occurrence
C) A fine of up to $2,500 per occurrence
D) A fine of up to $25,000 per occurrence

Answer 3

C) A fine of up to $2,500 per occurrence

Question 4

T/F: Dispensing kiosks can be used for all prescriptions.

True
False

Answer 4

False - It can only be used for medications that have been
previously dispensed (i.e. refills)

Question 5

Manufacturers are licensed by:

A) CA BOP
B) DEA
C) FDA
D) All of the above
E) None of the above; DPH

Answer 5

E) None of the above; DPH (Department of Public Health)

Question 6

Manufacturers must keep records for:

A) 3 months
B) 3 years
C) 2 months
D) 2 years
E) None of the above

Answer 6

B) 3 years

Question 7

A surgical clinic cannot dispense more than _____ supply of drugs and only for nausea and pain

A) 24 hours
B) 48 hours
C) 72 hours
D) 96 hours
E) None of the above

Answer 7

C) 72 hours

Question 8

T/F: Clinics, pharmacies, or other dispensers must report Schedule II-IV Rx information monthly to CURES

True
False

Answer 8

False - weekly, but starting on Jan 1, 2021, daily + will need to report schedule V Rx info as well

Question 9

Based on the prescription, what is the maximum number of times that this patient can pick up the medication?

Drug: Alprazolam (Xanax)
Sig: 1T BID PRN Anxiety
Quantity: #30
Refills: 7

a.) 4 times
b.) 5 times
c.) 6 times
d.) 7 times
e.) 8 times

Answer 9

c.) 6 times (inital fill + 5 refills)

Question 10

Based on the prescription, what is the max number of refills that can be prescribed?

Drug: Tramadol (Ultram)
Sig: 1T BID PRN Pain
Quantity: #60
Refills: ?

a.) Max of 4 refills within a 6 month period
b.) Max of 5 Refills within a one-year period
c.) Max of 5 refills within a 6 month period
d.) Max of 5 refills within a 120 Day period
e.) None of the above

Answer 10

a.) Max of 4 refills within a 6 month period

Question 11

You work at a California community pharmacy and have a customer who
is requesting to purchase Claritin-D (active ingredients: loratadine and
pseudoephedrine). Which of the following is true regarding the
dispensing of this product?

a. The pharmacist must sign a written or electronic logbook that
includes the customer’s name, address, date and time of sale, and name and quantity of product.
b. The pharmacy must retain the logbook of sales for 3 years
c. There is a 3.6 gram daily sales limit (quantified by the amount of pseudoephedrine)
d. There is a 9 gram daily sales limit (quantified by the amount of pseudoephedrine)
e. B and C
f. B and D

Answer 11

c. There is a 3.6 gram daily sales limit (quantified by the amount of pseudoephedrine)

Question 12

Consultation is now mandatory when:

A) Patient or agent requests
B) Pharmacist believes it is warranted
C) Rx is for outpatient use
D) All of the above

Answer 12

D) All of the above

Question 13

T/F: A pharmacist has the authority to dispense a drug or device to a patient without prescription during a personal
emergency wherein the the patient might face death without immediate medication.

True
False

Answer 13

False - law only authorizes during a federal, state, or local emergency, not a personal emergency. IF it is for a refill and the prescriber cannot be reached, then pharmacist may do an emergency fill and notify the prescriber of the fill

Question 14

What are the limitations for refills on CIII and CIV?

A) Maximum of 5 refill
B) May only be refilled up until 6 months after the date of issuance
C) Total supply refilled does not exceed a 120-day supply
D) A and B
E) All of the above

Answer 14

E) All of the above

Question 15

How can a pharmacist determine if a nurse practitioner or nurse-midwife has the authority to issue a particular order?

A) Based on their parent’s profession
B) Ask questions necessary to determine the scope of authority
C) Just guess their authority
D) I don’t care, I just want to go home

Answer 15

B) Ask questions necessary to determine the scope of authority

Question 16

May a pharmacist in CA fill a prescription from a physician in Ohio who is not licensed in CA?

A) No, pharmacist in CA can only fill a prescription from a physician in CA
B) Yes, a pharmacist in CA can fill a prescription from any state
C) Fill a prescription to whoever you want to
D) Both B and C

Answer 16

B) Yes, a pharmacist in CA can fill a prescription from any state - except for CIIs

Question 17

T/F: A cardiologist comes to your pharmacy counter and writes an order for himself for Lipitor for his cholesterol. You can dispense the Lipitor.

True
False

Answer 17

True - it’s a non-controlled Rx within his scope of practice

Question 18

Control II orders must be made on a special, triplicate form called:

A) Form 41
B) Form 42
C) Form 222
D) Form 223

Answer 18

C) Form 222

Question 19

In a correctional facility, drugs ordered “stat” must be available and administered within ______ during the normal business hours of local pharmacy or within _______ outside
those hours.
A) 10 minutes, 30 minutes
B) 30 minutes, 1 hour
C) 1 hour, 2 hours
D) 2 hours, 3 hours

Answer 19

C) 1 hour, 2 hours

Question 20

During any calendar year, the pharmacy may not supply to officers of ocean vessels a quantity of controlled substances that exceeds _____ percent of its total volume of controlled substance dosage units dispensed.

A) 5%
B) 4%
C) 3%
D) 2%

Answer 20

A) 5%

Question 21

T/F: The DEA defines the amount of “excessive” drug sales to be 5% more than the average, national amount of the desired drug.

True
False

Answer 21

False - DEA sets no amount and specifies no drug to be excessive. However, federal and state law require
distributors of drugs to report excessive sales

Question 22

A pharmacy technician is prohibited from which one of these activities in the pharmacy?

A) Filling a controlled substance
B) Making inquiries on behalf of the pharmacist.
C) Giving medication recommendations on behalf of the pharmacist.
D) Entering prescriptions into the computer.

Answer 22

C) Giving medication recommendations on behalf of the
pharmacist.

Question 23

Each Registered Pharmacist may supervise a maximum of ______ intern(s).
A) 0 (because pharmacy technicians supervise interns).
B) 1
C) 2
D) 4 (as long as the interns work the same shifts in pairs)
E) All of the above are correct.

Answer 23

C) 2

Question 24

Assuming all other criteria for licensure are met, who among the following may be eligible for licensure as a pharmacist?
A) An arsonist
B) A sex offender
C) A bank robber
D) All of the above
E) None of the above

Answer 24

D) All of the above

Question 25

T/F: You will have 6 hours to take the NAPLEX exam, and you may take the exam a total of 4 times, maximum.

True
False

Answer 25

True - Caveat: If you fail 4 times, you must complete an additional 16 semester units of pharmacy education in an ACPE-accredited or Board-approved pharmacy school before you can try 4 more times.

Question 26

T/F: Pharmacists may offer blood pressure assessments independently, without physician oversight.

True
False

Answer 26

True

Question 27

T/F: Pharmacists must give information on prescription and OTC products as part of their counseling to patients.

True
False

Answer 27

False - no legal obligation to consult OTC products, but that doesn’t mean you shouldn’t!

Question 28

Fill in the blank. Pharmacists may perform skin punctures if the procedure is _____________.

Answer 28

Answer: Routine or Drug-Therapy Related

Question 29

Pharmacists hold roles in a variety of different settings. If their occupation does not require licensure as an RPh…which of the following is true?

A) Pharmacists are subject to discipline by the Board even if their occupation does not require licensure as a RPh.
B) Pharmacists are exempt to discipline by the Board if occupation does not require licensure as a RPh

Answer 29

A) Pharmacists are subject to discipline by the Board even if their occupation does not require licensure as a RPh.

Question 30

Records for Dangerous Drugs and Dangerous Devices must be kept for:

a) One Year
b) two years
c) three years
d) four years

Answer 30

c) three years

Question 31

T/F: The PIC is held responsible for any violation of record keeping even if he had no knowledge of violation

True
False

Answer 31

False

Question 32

Which of the following is not required to keep record of ?

A) Prescriptions of controlled substances
B) patient’s insurance information
C) 222 Forms
D) Drugs inventory

Answer 32

B) patient’s insurance information

Question 33

Before transferring business, DEA must be notified__________ in advance

A) 7 days
B) 14 days
C) 30 days
D) 60 days

Answer 33

B) 14 days

Question 34

Disclosure of patient information is allowed upon the request of:

A) the patient’s parents
B) the patient’s spouse
C) Governmental agencies
D) Any healthcare provider

Answer 34

C) Governmental agencies

Question 35

What is the maximum amount of hours a pharmacy employee is allowed to work in any two consecutive weeks?

A) 90 Hours
B) 98 hours
C) 108 hours
D) 112 hours

Answer 35

C) 108 hours

Question 36

T/F: A prescription may be picked up by a family member or friend

True
False

Answer 36

True

Question 37

T/F: If the pharmacist is on a break, medication may be provided to patients if they were checked by the pharmacist

True
False

Answer 37

B) False - only refill medications

Question 38

T/F: A pharmacist must report to the FDA if a patient dies from a
newly-approved drug.

True
False

Answer 38

False - no legal requirement

Question 39

T/F: A prescription drug can become a schedule 1 drug

True
False

Answer 39

True - in the 1980s Quaaludes (methaqualone) became outlawed
due to massive abuse

Question 40

What schedule has the highest potential for abuse, but is recognized as safe and effective for medical use?
A) Schedule III
B) Schedule II
C) Schedule IV
D) Schedule V

Answer 40

B) Schedule II

Question 41

T/F: One of the security requirements of controlled prescriptions is a thermo-chromic ink feature.

True
False

Answer 41

True

Question 42

Which of the following is not an exception to the way in which Schedule II prescriptions are ordered or dispensed?

A) Cases involving terminally ill patients
B) Cases with patients from skilled nursing facilities, intermediate care facility, or hospice care
C) Cases involving hospital charts
D) Cases that involves patients with chronic pain conditions.

Answer 42

D) Cases that involves patients with chronic pain conditions.

Question 43

T/F: The Dietary Supplement Health and Education Act (DSHEA) was passed in 1995

True
False

Answer 43

False - 1994

Question 44

Which controlled medications are logged in on CURES?

A) Schedule II only
B) Schedule II and III only
C) Schedule II and IV only
D) Schedule II, III, IV, and V

Answer 44

D) Schedule II, III, IV, and V

Question 45

T/F: Non-Pharmacists (techs) are able to receive an oral order from a prescriber’s office and transcribe it on a sheet of paper for the pharmacist to verify.

True
False

Answer 45

False - Only Pharmacists and Interns are able to transcribe clinical
information received from a prescriber’s office. Techs can call and verify non-clinical information like phone numbers and DEA numbers etc.

Question 46

Which of the following is not a common basis for pharmacist discipline?

A) Prescription Error
B) Failure to Supervise
C) Failure to Communicate
D) Failure to Consult
E) None of the above

Answer 46

E) None of the above

Question 47

T/F: Pharmacy employees are always legally permitted to take medication they are prescribed.

True
False

Answer 47

False - not if it will impair their ability to perform their duties safely

Question 48

In the first year of experience in treating opioid dependence with controlled substances, physicians are limited to treating _____ patients.

a. 10 patients
b. 30 patients
c. 50 patients
d. 100 patients

Answer 48

b. 30 patients - if you they get a waiver and meet certain conditions, they can treat up to 100 in the first year

Question 49

If a pharmacist were to accept a gift from the physician’s office that they recommended several patients to, they could be charged with…

a. A felony; up to 5 years in prison and a $25,000 fine
b. A misdemeanor; up to 65 years in prison and a $25,000 fine
c. A felony; up to 1 year in prison and a $15,000 fine
d. A misdemeanor; up to 1 year in prison and a $15,000 fine

Answer 49

a. A felony; up to 5 years in prison and a $25,000 fine

Question 50

Which of the following is NOT considered to be compounding?

A. Changing drug strength
B. Combining active ingredients
C. Adding flavoring
D. Changing dosage form

Answer 50

C. Adding flavoring

Question 51

Which factor exceeds the limits of compounding?

A) Compounding in expectation of receiving a prescription
B) Compounding upon receipt of a prescription
C) Compounding products that are not commercially available nor copies of commercially available, FDA-approved drugs
D) Complying with state laws

Answer 51

A) Compounding in expectation of receiving a prescription

Question 52

What is considered Adulteration?

A) Drug’s label does not contain name and place of business of manufacturer
B) Drug does not meet the standards of purity that it’s represented to contain
C) Drug is dangerous when used as directed
D) All of the above

Answer 52

B) Drug does not meet the standards of purity that it’s represented to contain

Question 53

Using an expiration date of _____ beyond the date of dispensing is legal, unless the stated expiration date on the stock bottle from which the pills were dispensed is sooner.

A. One Month
B. Three Years
C. Two years
D. One year

Answer 53

D. One year

Question 54

Right of the accused include?

a) verbal notice of charges
b) Opportunity to be heard
c) A notice that a defense must be filed within 15 days to avoid a default decision
d) a and b are correct
e) b and c are correct

Answer 54

e) b and c are correct

Question 55

T/F: The Board is not authorized to subpoena witnesses and records for investigatory purposes.

True
False

Answer 55

False

Question 56

Board can cite any licensee or non-licensee for violating which of the following?

a) Any provision of pharmacy law
b) Any pharmacy board regulation
c) California’s medical information act
d) Patient’s right to obtain prescriptions
e) Any of the above

Answer 56

e) Any of the above

Question 57

T/F: Admonishment letter is similar to an order of correction.

True
False

Answer 57

True